WALMART STORES EAST LP
Pharmacy · DERBY, VT
Organization Active NPI 1619424298
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 326 | 1,148 | $84,979 | $82,955 | $82,955 |
| 2023 | 83 | 408 | $10,069 | $9,861 | $9,861 |
| 2022 | 719 | 2,565 | $80,261 | $78,584 | $78,584 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 277 | $10 | $10 |
| G0008 | Administration of influenza virus vaccine | 264 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 238 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 220 | $157 | $157 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 56 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 33 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $291 | $291 |
| 90684 | Pcv21 vaccine im | 16 | $321 | $321 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 15 | $82 | $82 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 11 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 038.0123545 | VT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Vermont
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.